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Genus-Wide Leptospira Core Genome Multilocus Sequence Typing for Strain Taxonomy and Global Surveillance

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Genus-Wide Leptospira Core Genome Multilocus Sequence Typing for Strain Taxonomy and Global Surveillance RESEARCH ARTICLE Genus-wide Leptospira core genome multilocus sequence typing for strain taxonomy and global surveillance Julien Guglielmini1☯, Pascale Bourhy2☯, Olivier Schiettekatte2,3, Farida Zinini2, 4³ 2³ Sylvain Brisse *, Mathieu PicardeauID * 1 Institut Pasteur, Bioinformatics and Biostatistics Hub, C3BI, USR 3756 IP CNRS, Paris, France, 2 Institut Pasteur, Biology of Spirochetes unit, National Reference Center for Leptospirosis, Paris, France, 3 Universite Paris Diderot, Ecole Doctorale BioSPC, Paris, France, 4 Institut Pasteur, Biodiversity and Epidemiology of a1111111111 Bacterial Pathogens, Paris, France a1111111111 a1111111111 ☯ These authors contributed equally to this work. a1111111111 ³ These authors are joint senior authors on this work. a1111111111 * [email protected] (SB); [email protected] (MP) Abstract OPEN ACCESS Leptospira is a highly heterogeneous bacterial genus that can be divided into three evolu- Citation: Guglielmini J, Bourhy P, Schiettekatte O, tionary lineages and >300 serovars. The causative agents of leptospirosis are responsible Zinini F, Brisse S, Picardeau M (2019) Genus-wide of an emerging zoonotic disease worldwide. To advance our understanding of the biodiver- Leptospira core genome multilocus sequence sity of Leptospira strains at the global level, we evaluated the performance of whole-genome typing for strain taxonomy and global surveillance. PLoS Negl Trop Dis 13(4): e0007374. https://doi. sequencing (WGS) as a genus-wide strain classification and genotyping tool. Herein we pro- org/10.1371/journal.pntd.0007374 pose a set of 545 highly conserved loci as a core genome MLST (cgMLST) genotyping Editor: Tao Lin, Baylor College of Medicine, scheme applicable to the entire Leptospira genus, including non-pathogenic species. Evalu- UNITED STATES ation of cgMLST genotyping was undertaken with 509 genomes, including 327 newly Received: December 13, 2018 sequenced genomes, from diverse species, sources and geographical locations. Phyloge- netic analysis showed that cgMLST defines species, clades, subclades, clonal groups and Accepted: April 9, 2019 cgMLST sequence types (cgST), with high precision and robustness to missing data. Novel Published: April 26, 2019 Leptospira species, including a novel subclade named S2 (saprophytes 2), were identified. Copyright: © 2019 Guglielmini et al. This is an open We defined clonal groups (CG) optimally using a single-linkage clustering threshold of 40 access article distributed under the terms of the allelic mismatches. While some CGs such as L. interrogans CG6 (serogroup Icterohaemor- Creative Commons Attribution License, which permits unrestricted use, distribution, and rhagiae) are globally distributed, others are geographically restricted. cgMLST was congru- reproduction in any medium, provided the original ent with classical MLST schemes, but had greatly improved resolution and broader author and source are credited. applicability. Single nucleotide polymorphisms within single cgST groups was limited to <30 Data Availability Statement: All relevant data are SNPs, underlining a potential role for cgMLST in epidemiological surveillance. Finally, within the paper and its Supporting Information cgMLST allowed identification of serogroups and closely related serovars. In conclusion, files. Full-genome sequences can be found in NCBI the proposed cgMLST strategy allows high-resolution genotyping of Leptospira isolates under the project number PRJEB29877 and are available under genome accession numbers across the phylogenetic breadth of the genus. The unified genomic taxonomy of Leptospira ERR3047203 to ERR3047514. strains, available publicly at http://bigsdb.pasteur.fr/leptospira, will facilitate global harmoni- Funding: This work was supported in part by a zation of Leptospira genotyping, strain emergence follow-up and novel collaborative studies donation from Foundation MSD to the `PIBnet' of the epidemiology and evolution of this emerging pathogen. programme of Institut Pasteur, by Public Health France (SPF), and by Institut Pasteur through grant PTR 30-2017. This work was part of the PhD thesis PLOS Neglected Tropical Diseases | https://doi.org/10.1371/journal.pntd.0007374 April 26, 2019 1 / 23 cgMLST scheme for Leptospira of O. S. who received financial support from ªUniversite Paris Diderotº and ªSorbonne Paris Citeº. The funders had no role in the design, Author summary conduct or conclusions of the study. Leptospirosis, caused by pathogenic Leptospira strains, is an emerging bacterial zoonotic Competing interests: The authors have declared disease mostly affecting humans in tropical countries. Despite its public health impor- that no competing interests exist. tance, little is known about the strains that are circulating worldwide due to the lack of a universal common language on strain types. In this work we describe a new strain geno- typing and classification system that is highly standardized, thus facilitating global collab- oration, and that can discriminate all members of the Leptospira genus at high resolution. We then examine the genetic diversity of Leptospira strains from different origins. This study provides a framework for optimizing diagnostic methods and epidemiological sur- veillance of leptospirosis. Introduction Spirochetes constitute an evolutionarily and morphologically unique group of bacteria [1]. Pathogenic members of this phylum are the causative agents of several important diseases including leptospirosis, an emerging zoonotic disease with more than one million severe cases and 60,000 deaths every year worldwide, mostly in the tropical countries [2]. Pathogenic Lep- tospira species can cause a wide range of diseases in human, ranging from mild flu-like symp- toms to severe complications, such as Weil's disease and pulmonary hemorrhagic syndrome, in which the case fatality rate can reach 40% [3]. Leptospirosis is expected to become more prominent worldwide due to climate change and the growing urban population living in slums. In addition, infections with pathogenic species can lead to major economic losses in livestock, as animal infections include e.g., abortion and loss of milk production [4]. The high public health and economic importance of Leptospira calls for better control of the infections the bacteria cause to both humans and animals. However, the control of Leptos- pira transmission is challenging for several reasons. First, the life cycle of pathogenic Leptos- pira is complex. Pathogenic leptospires are excreted through the urine of a wide range of animals including rodents which are asymptomatic reservoirs and livestock. Transmission to susceptible hosts usually occurs through contact with water contaminated with the urine of infected animals [5]. Therefore, multiple environmental sources of exposures, linked to multi- ple animal species, must be considered as possibilities. Further complicated matters, the genus Leptospira is genetically highly heterogeneous and knowledge of its biodiversity remains largely incomplete. Taxonomically, the genus is cur- rently subdivided into 35 species [6]. These species are ordered into three major evolutionary clades named according to their virulence status: pathogens, intermediates and saprophytes [1]. The agents of leptospirosis belong to two subclades, the pathogens (13 species) and the intermediates (11 species). The pathogenic species are responsible of the most severe infections in both human and animals, yet we know little about which component of the spirochete are critical for virulence. The species of the intermediates subclade are widely distributed in the environment [6±10] and they may be responsible for mild infections in both human and ani- mals [11±19]. Intermediates possess most of the virulence factors found in the pathogens [1, 20]. In turn, the saprophytes form a single clade containing eleven species that are regarded as non-pathogenic environmental bacteria [1]. Saprophytes are relatively fast-growing in vitro when compared to the pathogens and lack the virulence factors described in infectious strains [1]. Classification into the three main clades has been typically performed using housekeeping and 16S rRNA genes sequencing [20]. PLOS Neglected Tropical Diseases | https://doi.org/10.1371/journal.pntd.0007374 April 26, 2019 2 / 23 cgMLST scheme for Leptospira Yet another barrier against leptospirosis control is the difficulty in isolating and cultivating Leptospira, which hinders optimal diagnostics of infections as well as laboratory identification, and hampers the constitution and maintenance of strain culture collections that are needed for microbiological studies and diagnostic or vaccine development purposes. Finally, there is a lack of efficient strain typing methods that would allow tracking Leptos- pira strains (i) from their environmental or animal sources to their infected hosts and (ii) as they spread across time and space. Serotyping, which relies on the use of specific monoclonal antibodies, has led to the distinction of >300 serovars based on the structural heterogeneity of the surface-exposed lipopolysaccharides (LPS). This method has demonstrated an association of serovars with some animal reservoir hosts [21], even though the mechanisms that have allowed the adaptation of pathogenic Leptospira to various hosts are still unknown. However, serovar identification is currently performed by only two reference laboratories worldwide and is fastidious and time-consuming [22]. Furthermore, correlation between serotypes
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